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Surgery General 0e868cc5

26 year old man died while playing. His autopsy of the hea revealed myocyte hyperophy. Diagnosis is aEUR'

A
HOCM
B
DCM
C
Arrhythmogenic cardiac problem
D
Restrictive cardiomyopathy
High-Yield Explanation
HOCM Sudden death associated with spos or vigorous exeion along with the presence of hyperophied septum suggests the diagnosis of HOCM. Remember HOCM does not give specific symptoms. This disorder has variable presentation. Most patients are asymptomatic, and unfounately the .first clinical manifestation of the disease in such individuals may be death. M.C. manifestation of H.O.C.M. in symptomatic patients Dyspnea The essential feature of HOCM is massive myocardial hyperophyQ without ventricular dilatation. - The impoant feature of hyperophy is that it is asymmetricalQ, the ventricular septum is characteristically involved but ventricular wall is spared.

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